Healthcare Provider Details

I. General information

NPI: 1457555112
Provider Name (Legal Business Name): ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2575 KLOCKNER RD
HAMILTON NJ
08690-2801
US

IV. Provider business mailing address

1 HAMILTON HEALTH PL
HAMILTON NJ
08690-3542
US

V. Phone/Fax

Practice location:
  • Phone: 609-631-6960
  • Fax: 609-631-6888
Mailing address:
  • Phone: 609-586-7900
  • Fax: 609-631-6888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number11101
License Number StateNJ

VIII. Authorized Official

Name: PAUL PERNICE
Title or Position: CFO, SR VP FINANCE
Credential:
Phone: 609-584-6406